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Mr. Shawn Mikeal Fettig, LD
Denturist in Vancouver, Washington
NPI 1942398524

Shawn Mikeal Fettig is a Denturist based in Vancouver, WA. Shawn Mikeal Fettig practices in Vancouver, WA and has the professional credentials of LD. The NPI Number for Shawn Mikeal Fettig is 1942398524 and holds a License No. ON00000393 (Washington).

The current practice location address for Shawn Mikeal Fettig is 2701 Ne 114 Ave, Vancouver, WA and can be reached out via phone at 360-892-7107 and via fax at 360-891-8361. You can also correspond with Shawn Mikeal Fettig through the mailing address at 2701 NE 114 AVE, VANCOUVER, WA - 98684-4289 (mailing address contact number: 360-892-7107).

Location: 2701 Ne 114 Ave, Vancouver, WA, 98684-4289
person
Provider Profile Details
NPI Number
1942398524
Provider Name
Shawn Mikeal Fettig
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
2701 Ne 114 Ave, Vancouver, WA, 98684-4289
Phone Number
360-892-7107
Fax Number
360-891-8361
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5047576 05 WA
institution
Provider Business Practice Location Address Details
Address
2701 Ne 114 Ave
City
State
Zip
98684-4289
Phone Number
360-892-7107
Fax Number
360-891-8361
person
Provider Business Mailing Address Details
Address
2701 Ne 114 Ave
City
State
Zip
98684-4289
Phone Number
360-892-7107
Fax Number
360-891-8361
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
ON00000393 (Washington)
Definition
Definition to come.
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